Coginchaug-Durham Family Practice

LBN: Mhs Primary Care
Coginchaug-Durham Family Practice is an health care organization with primary practice located at 6 Main St. , Durham CT 06422. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mhs Primary Care can be contacted via phone (860) 349-1058, or through Serkey, Susan via phone (860) 358-4802.

Contact Information

Primary practice address
6 Main St. Durham CT 06422
Phone: (860) 349-1058
Fax: (860) 358-8652
Website:
Map and Directions
Authorized official contact:
Name: Serkey, Susan
Phone: (860) 358-4802

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1942429014
LBN Legal business name Mhs Primary Care
DBA Doing business as Coginchaug-Durham Family Practice
Authorized official Serkey, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Jan 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942429014 NPPES
Connecticut MEDICAID 04173259

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